- USDA and EPA Strengthen Partnership to Improve Access to Modern and Affordable Wastewater Infrastructure for People in Rural America
- 'I Went Into Medicine to Help My Community': Nez Perce Doctor Speaks on Rural Health Care and Building a Future for the Next Generation
- Using Virtual Care Tech to Curb Care Barriers in Rural South Carolina
- Research and Analysis: Rural Internet Subscribers Pay More, New Data Confirms
- Focus on Fellows: Checking in with Three Rural Leaders
- In Texas' Panhandle, a Long-Awaited Oasis for Mental Health Care Is Springing Up
- A Reason to Care: How Students Choose Rural Health
- A Prescription for Better Rural Nutrition
- City-Based Scientists Get Creative to Tackle Rural-Research Needs
- Public Payment of Dialysis Treatment Has Changed the Rural Healthcare Marketplace
- How the Bad River Tribe Flipped the Script on the Native American Opioid Crisis
- Reps. Sewell, Miller Introduce the Bipartisan Assistance for Rural Community Hospitals (ARCH) Act on National Rural Health Day
- Western Alaska Salmon Crisis Affects Physical and Mental Health, Residents Say
- How Telehealth Is Bringing Specialist Care to the North Country
- Could a Solution to Provide Legal Care in Alaska Work in Rural Minnesota?
HRSA’s Office of Pharmacy Affairs posted on its website a letter to Eli Lilly dated Sept. 21. While this letter does not state definitively that Lilly’s refusal to allow 340B-priced drugs to contract pharmacies is illegal, it states that HRSA has not yet made a final decision regarding its legality. Referring to Eli Lilly’s “unilateral policy” to “scrap 340B pricing to contract pharmacies,” the letter states that “although the Health Resources and Services Administration (“HRSA”) has significant initial concerns with Lilly’s new policy, it continues to review that policy and has yet to make a final determination as to any potential action…. Lilly’s decision to interpret HRSA’s responses as tantamount to definitive agency agreement with Lilly’s position is incorrect.” The letter lists four concerns about Lilly’s actions that are not directly related to the 340B statute. The letter also notes that “the timing of your pricing changes is, at the very least, insensitive to the recent state of the economy.” HRSA’s letter concludes by stating that a lawsuit by HRSA against Eli Lilly is “a potential consequence in the event that Lilly knowingly violates a material condition of the program that results in over-charges to grantees and contractors.” NACHC and PACHC will continue to monitor this situation closely.
Pennsylvania’s unemployment rate dropped by 2.2 percentage points in August, settling at 10.3 percent as the state continues to plot an economic recovery after the coronavirus ushered forth record-high unemployment earlier in the year. The economy added over 59,000 nonfarm jobs last month, with unemployment down by 144,000 and employment up by 86,000, according to the state Department of Labor and Industry.
The Pennsylvania Supreme Court handed down several voting-related decisions last week. The court extended the deadline for accepting mail ballots, will allow voters to submit their ballots through drop boxes and removed the Green Party’s candidate for president from the ballot. 2020 is the first year Pennsylvanians have the option to vote by mail without needing to specify a reason. The Pennsylvania Department of State says nearly 2 million people have already asked for mail ballots for the upcoming election–and that figure is expected to grow. PA voters must register to vote by Oct. 19 to be eligible to vote in the Nov. 3 election. PA residents may register to vote online.
Last week, the Centers for Medicare & Medicaid Services (CMS) finalized two new mandatory Medicare payment models. The Radiation Oncology Model (RO Model) creates a bundled payment system that is the same for all providers of radiotherapy treatment, regardless of whether care occurs in an outpatient department or in a physician’s office. The End-Stage Renal Disease (ESRD) Treatment Choices Model (ETC Model), part of the Federal Advancing Kidney Health Initiative, adjusts payments to ESRD facilities based on the availability of home dialysis programs and the reduction of kidney transplant wait times. Each model begins January 1, 2021. Read more here.
This flowchart from the Centers for Medicare & Medicaid Services (CMS) guides providers on how to bill Medicare for COVID-19 testing for beneficiaries in skilled nursing facilities/nursing facilities. It also includes resources and explanations on how to receive reimbursements for testing if residents have Medicaid, private health insurance, or no health insurance. Find more information here.
The Centers for Medicare & Medicaid Services (CMS) seek public input on the potential benefits and challenges of using a nationally available set of quality measures in the delivery of Medicaid-funded HCBS. HCBS programs vary by state and serve a variety of targeted Medicaid enrollees, such as people with developmental disabilities, physical disabilities, and/or mental illness, and provide opportunities for Medicaid beneficiaries to receive services in their own homes and communities rather than in institutions. Read more here.
The Physician-Focused Payment Model Technical Advisory Committee requests public input on the role that telehealth can play in new physician payment models. This committee reviews and recommends payment models proposed by the public to the Secretary of Health and Human Services, and they have posed several questions in this RFI to improve their understanding of how telehealth is used in value-based care and how it can be improved. Find more information here. Email comments to PTAC@HHS.gov.
This study from the North Carolina Rural Health Research and Policy Analysis Center evaluated differences in urban hospitals with high and low percentages of rural inpatient days using several indicators. These indicators fall into five broad categories: Medicare payer mix, size, profitability, distance to the next closest hospital, and wage index. Read more here.
The U.S. Department of Labor (DOL) will make up to 40 awards with a total investment of $40 million to train health care professionals working in rural areas. The H-1B Skills Training Grants fund projects that train workers for high-skill jobs in underserved areas of the country to allow employers to meet workforce needs. Find more information here.
This week, the National Rural Health Resource Center released findings from their May 2020 Virtual Summit, which focused on the issues, challenges, and strategies related to the integration of acute and post-acute care in rural areas. The report covers the current state of rural post-acute care, including the impact of COVID-19, and explores strategies and tactics to address key issues, such as payment, workforce, and community care coordination. Read more here.